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General NPI Number Information
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NPI Number | 1083118384
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Entity Type | Organization
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Legal Business Name | 3 AMIGOS TAXI & LIMOUSINE, INC.
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Dates
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Enumeration Date | 03/21/2018
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Last Update Date | 03/21/2018
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Provider Practice Location Address
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Address Line | 68 S SERVICE RD STE 100
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City | MELVILLE
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State | NY
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Zip | 11747-2350
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Country | US
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Telephone | 631-629-2493
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Fax | 631-629-6945
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Provider Business Mailing Address
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Address Line | 4 DENMARK CT
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City | HUNTINGTON
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State | NY
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Zip | 11743-4734
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Country | US
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Telephone | 631-334-9572
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Fax | 631-629-6945
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Authorized Official
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Title or Position | OWNER
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Name | MR. ALGERNON ANTHONY, STEPHEN WALLER
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Credential |
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Telephone | 631-334-9572
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 344600000X
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Taxonomy Name | Taxi
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License Number |
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License Number State |
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